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		<div id="logged_user_name" style="width: 240px; line-height: 30px; float: left; text-align: right; font-weight: bold; font-size: 13px; padding-left: 20px;">&nbsp;Hi, Shivani</div>
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			<div class="" id="exam_msg" style="padding: 5px; font-size: 13px; margin-top: 0px;">&nbsp;</div>
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		<div style="width: 600px;" align="center">
			<div id="detailed_test_view" style="float: left; width: 600px; border: 1px solid; font-size: 12px; padding: 10px; margin-bottom: 10px;">
				<form name="exam_form" id="exam_form">
					<div class="report_header">
						<div id="row">
							<div id="column1" class="fl">
								<div id="sub_column1" class="fl" style="width: 100px; text-align: left;">Patient Name:</div>
								<div id="sub_column2" class="fl">Shivani  Mehta</div>
								<div class="clr">&nbsp;</div>
							</div>
							<div class="clr">&nbsp;</div>
						</div>
						<div id="row">
							<div id="column1" class="fl">
								<div id="sub_column1" class="fl" style="width: 100px; text-align: left;">Test:</div>
								<div id="sub_column2" class="fl">PROBLEMS WITH YOUR KNEE</div>
								<div class="clr">&nbsp;</div>
							</div>
							<div class="clr">&nbsp;</div>
						</div>
						<div id="row">
							<div id="column1" class="fl" style="width: 76%;">
								<div id="sub_column1" class="fl" style="width: 100px; text-align: left;">Test Date:</div>
								<div id="sub_column2" class="fl">29-08-2011</div>
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					<div class="report_content" style="text-align: left;">
						<div style="line-height: 25px;">
							<div class="fl" style="width: 50%;">During the past 4 weeks...</div>
							<div class="fl" style="width: 49%; text-align: right;">tick <b>one</b> box for <b>every question</b></div>
							<div class="clr">&nbsp;</div>
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							<div class="question" style="width: 100%;">
								<div class="fl" style="width: 6%; font-weight: bold;">1. </div>
								<div class="fl" style="width: 93%;">How would you describe the pain you usually have from your knee?</div>
								<div class="clr">&nbsp;</div>
							</div>
							<div class="answer">
								<div class="fl" style="width: 98%;">
									<div class="fl" style="width: 5%; font-weight: bold;">Ans. </div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option62">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_0" id="opt_of_0" value="13,62,4,0" onclick="updateScore(this,'0');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">None</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option63">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_0" id="opt_of_0" value="13,63,3,0" onclick="updateScore(this,'0');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Very mild</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option64">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_0" id="opt_of_0" value="13,64,2,0" onclick="updateScore(this,'0');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Mild</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option65">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_0" id="opt_of_0" value="13,65,1,0" onclick="updateScore(this,'0');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Moderate</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option66">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_0" id="opt_of_0" value="13,66,0,0" onclick="updateScore(this,'0');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Severe</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="clr">&nbsp;</div>
								</div>
								<div class="clr">&nbsp;</div>
							</div>
						</div>
											<div style="line-height: 22px; margin-bottom: 3px; border: 1px solid rgb(238, 238, 238); background-color: rgb(255, 255, 255);" id="question_answer_1">
							<div class="question" style="width: 100%;">
								<div class="fl" style="width: 6%; font-weight: bold;">2. </div>
								<div class="fl" style="width: 93%;">Have you had any trouble with washing and drying yourself (all over) because of your knee?</div>
								<div class="clr">&nbsp;</div>
							</div>
							<div class="answer">
								<div class="fl" style="width: 98%;">
									<div class="fl" style="width: 5%; font-weight: bold;">Ans. </div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option67">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_1" id="opt_of_1" value="14,67,4,1" onclick="updateScore(this,'1');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">No trouble at all</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option68">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_1" id="opt_of_1" value="14,68,3,1" onclick="updateScore(this,'1');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Very little trouble</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option69">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_1" id="opt_of_1" value="14,69,2,1" onclick="updateScore(this,'1');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Moderate trouble</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option70">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_1" id="opt_of_1" value="14,70,1,1" onclick="updateScore(this,'1');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Extreme difficulty</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option71">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_1" id="opt_of_1" value="14,71,0,1" onclick="updateScore(this,'1');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Impossible to do</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="clr">&nbsp;</div>
								</div>
								<div class="clr">&nbsp;</div>
							</div>
						</div>
											<div style="line-height: 22px; margin-bottom: 3px; border: 1px solid rgb(238, 238, 238); background-color: rgb(255, 255, 255);" id="question_answer_2">
							<div class="question" style="width: 100%;">
								<div class="fl" style="width: 6%; font-weight: bold;">3. </div>
								<div class="fl" style="width: 93%;">Have you had any trouble 
getting in and out of a car or using public transport because of your 
knee? (whichever you would tend to use)</div>
								<div class="clr">&nbsp;</div>
							</div>
							<div class="answer">
								<div class="fl" style="width: 98%;">
									<div class="fl" style="width: 5%; font-weight: bold;">Ans. </div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option72">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_2" id="opt_of_2" value="15,72,4,2" onclick="updateScore(this,'2');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">No trouble at all</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option73">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_2" id="opt_of_2" value="15,73,3,2" onclick="updateScore(this,'2');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Very little trouble</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option74">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_2" id="opt_of_2" value="15,74,2,2" onclick="updateScore(this,'2');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Moderate trouble</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option75">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_2" id="opt_of_2" value="15,75,1,2" onclick="updateScore(this,'2');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Extreme difficulty</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option76">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_2" id="opt_of_2" value="15,76,0,2" onclick="updateScore(this,'2');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Impossible to do</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="clr">&nbsp;</div>
								</div>
								<div class="clr">&nbsp;</div>
							</div>
						</div>
											<div style="line-height: 22px; margin-bottom: 3px; border: 1px solid rgb(238, 238, 238); background-color: rgb(255, 255, 255);" id="question_answer_3">
							<div class="question" style="width: 100%;">
								<div class="fl" style="width: 6%; font-weight: bold;">4. </div>
								<div class="fl" style="width: 93%;">For how long have you been able to walk before pain from your knee becomes severe? (with or without a stick)</div>
								<div class="clr">&nbsp;</div>
							</div>
							<div class="answer">
								<div class="fl" style="width: 98%;">
									<div class="fl" style="width: 5%; font-weight: bold;">Ans. </div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option77">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_3" id="opt_of_3" value="16,77,4,3" onclick="updateScore(this,'3');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">No pain/More than 30 minutes</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option78">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_3" id="opt_of_3" value="16,78,3,3" onclick="updateScore(this,'3');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">16 to 30 minutes</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option79">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_3" id="opt_of_3" value="16,79,2,3" onclick="updateScore(this,'3');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">5 to 15 minutes</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option80">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_3" id="opt_of_3" value="16,80,1,3" onclick="updateScore(this,'3');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Around the house only</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option81">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_3" id="opt_of_3" value="16,81,0,3" onclick="updateScore(this,'3');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Not at all- pain severe when walking</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="clr">&nbsp;</div>
								</div>
								<div class="clr">&nbsp;</div>
							</div>
						</div>
											<div style="line-height: 22px; margin-bottom: 3px; border: 1px solid rgb(238, 238, 238); background-color: rgb(255, 255, 255);" id="question_answer_4">
							<div class="question" style="width: 100%;">
								<div class="fl" style="width: 6%; font-weight: bold;">5. </div>
								<div class="fl" style="width: 93%;">After a meal (sat at a table), how painful has it been for you to stand up from a chair because of your knee?</div>
								<div class="clr">&nbsp;</div>
							</div>
							<div class="answer">
								<div class="fl" style="width: 98%;">
									<div class="fl" style="width: 5%; font-weight: bold;">Ans. </div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option82">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_4" id="opt_of_4" value="17,82,4,4" onclick="updateScore(this,'4');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Not at all painful</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option83">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_4" id="opt_of_4" value="17,83,3,4" onclick="updateScore(this,'4');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Slightly painful</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option84">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_4" id="opt_of_4" value="17,84,2,4" onclick="updateScore(this,'4');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Moderately painful</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option85">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_4" id="opt_of_4" value="17,85,1,4" onclick="updateScore(this,'4');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Very painful</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option86">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_4" id="opt_of_4" value="17,86,0,4" onclick="updateScore(this,'4');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Unbearable</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="clr">&nbsp;</div>
								</div>
								<div class="clr">&nbsp;</div>
							</div>
						</div>
											<div style="line-height: 22px; margin-bottom: 3px; border: 1px solid rgb(238, 238, 238); background-color: rgb(255, 255, 255);" id="question_answer_5">
							<div class="question" style="width: 100%;">
								<div class="fl" style="width: 6%; font-weight: bold;">6. </div>
								<div class="fl" style="width: 93%;">Have you been limping when walking, because of your knee?</div>
								<div class="clr">&nbsp;</div>
							</div>
							<div class="answer">
								<div class="fl" style="width: 98%;">
									<div class="fl" style="width: 5%; font-weight: bold;">Ans. </div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option87">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_5" id="opt_of_5" value="18,87,4,5" onclick="updateScore(this,'5');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Rarely/never</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option88">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_5" id="opt_of_5" value="18,88,3,5" onclick="updateScore(this,'5');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Sometimes, or just at first</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option89">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_5" id="opt_of_5" value="18,89,2,5" onclick="updateScore(this,'5');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Often, not just at first</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option90">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_5" id="opt_of_5" value="18,90,1,5" onclick="updateScore(this,'5');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Most of the time</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option91">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_5" id="opt_of_5" value="18,91,0,5" onclick="updateScore(this,'5');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">All of the time</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="clr">&nbsp;</div>
								</div>
								<div class="clr">&nbsp;</div>
							</div>
						</div>
											<div style="line-height: 22px; margin-bottom: 3px; border: 1px solid rgb(238, 238, 238); background-color: rgb(255, 255, 255);" id="question_answer_6">
							<div class="question" style="width: 100%;">
								<div class="fl" style="width: 6%; font-weight: bold;">7. </div>
								<div class="fl" style="width: 93%;">Could you kneel down and get up again afterwards?</div>
								<div class="clr">&nbsp;</div>
							</div>
							<div class="answer">
								<div class="fl" style="width: 98%;">
									<div class="fl" style="width: 5%; font-weight: bold;">Ans. </div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option92">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_6" id="opt_of_6" value="19,92,4,6" onclick="updateScore(this,'6');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Yes, Easily</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option93">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_6" id="opt_of_6" value="19,93,3,6" onclick="updateScore(this,'6');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">With little difficulty</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option94">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_6" id="opt_of_6" value="19,94,2,6" onclick="updateScore(this,'6');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">With moderate difficulty</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option95">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_6" id="opt_of_6" value="19,95,1,6" onclick="updateScore(this,'6');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">With extreme difficulty</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option96">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_6" id="opt_of_6" value="19,96,0,6" onclick="updateScore(this,'6');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">No, Impossible</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="clr">&nbsp;</div>
								</div>
								<div class="clr">&nbsp;</div>
							</div>
						</div>
											<div style="line-height: 22px; margin-bottom: 3px; border: 1px solid rgb(238, 238, 238); background-color: rgb(255, 255, 255);" id="question_answer_7">
							<div class="question" style="width: 100%;">
								<div class="fl" style="width: 6%; font-weight: bold;">8. </div>
								<div class="fl" style="width: 93%;">Have you been troubled by pain from your knee in bed at night?</div>
								<div class="clr">&nbsp;</div>
							</div>
							<div class="answer">
								<div class="fl" style="width: 98%;">
									<div class="fl" style="width: 5%; font-weight: bold;">Ans. </div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option97">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_7" id="opt_of_7" value="20,97,4,7" onclick="updateScore(this,'7');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">No nights</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option98">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_7" id="opt_of_7" value="20,98,3,7" onclick="updateScore(this,'7');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Only 1 or 2 nights</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option99">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_7" id="opt_of_7" value="20,99,2,7" onclick="updateScore(this,'7');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Some nights</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option100">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_7" id="opt_of_7" value="20,100,1,7" onclick="updateScore(this,'7');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Most nights</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option101">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_7" id="opt_of_7" value="20,101,0,7" onclick="updateScore(this,'7');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Every nights</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="clr">&nbsp;</div>
								</div>
								<div class="clr">&nbsp;</div>
							</div>
						</div>
											<div style="line-height: 22px; margin-bottom: 3px; border: 1px solid rgb(238, 238, 238); background-color: rgb(255, 255, 255);" id="question_answer_8">
							<div class="question" style="width: 100%;">
								<div class="fl" style="width: 6%; font-weight: bold;">9. </div>
								<div class="fl" style="width: 93%;">How much has pain from your knee interfered with your usual work (including housework)?</div>
								<div class="clr">&nbsp;</div>
							</div>
							<div class="answer">
								<div class="fl" style="width: 98%;">
									<div class="fl" style="width: 5%; font-weight: bold;">Ans. </div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option102">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_8" id="opt_of_8" value="21,102,4,8" onclick="updateScore(this,'8');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Not at all</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option103">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_8" id="opt_of_8" value="21,103,3,8" onclick="updateScore(this,'8');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">A little bit</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option104">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_8" id="opt_of_8" value="21,104,2,8" onclick="updateScore(this,'8');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Moderately</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option105">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_8" id="opt_of_8" value="21,105,1,8" onclick="updateScore(this,'8');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Greatly</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option106">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_8" id="opt_of_8" value="21,106,0,8" onclick="updateScore(this,'8');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Totally</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="clr">&nbsp;</div>
								</div>
								<div class="clr">&nbsp;</div>
							</div>
						</div>
											<div style="line-height: 22px; margin-bottom: 3px; border: 1px solid rgb(238, 238, 238); background-color: rgb(255, 255, 255);" id="question_answer_9">
							<div class="question" style="width: 100%;">
								<div class="fl" style="width: 6%; font-weight: bold;">10. </div>
								<div class="fl" style="width: 93%;">Have you felt that your knee might suddenly 'give way' or let you down?</div>
								<div class="clr">&nbsp;</div>
							</div>
							<div class="answer">
								<div class="fl" style="width: 98%;">
									<div class="fl" style="width: 5%; font-weight: bold;">Ans. </div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option107">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_9" id="opt_of_9" value="22,107,4,9" onclick="updateScore(this,'9');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Rarely/never</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option108">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_9" id="opt_of_9" value="22,108,3,9" onclick="updateScore(this,'9');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Sometimes, or just at first</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option109">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_9" id="opt_of_9" value="22,109,2,9" onclick="updateScore(this,'9');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Often, not just at first</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option110">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_9" id="opt_of_9" value="22,110,1,9" onclick="updateScore(this,'9');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Most of the time</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option111">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_9" id="opt_of_9" value="22,111,0,9" onclick="updateScore(this,'9');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">All of the time</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="clr">&nbsp;</div>
								</div>
								<div class="clr">&nbsp;</div>
							</div>
						</div>
											<div style="line-height: 22px; margin-bottom: 3px; border: 1px solid rgb(238, 238, 238); background-color: rgb(255, 255, 255);" id="question_answer_10">
							<div class="question" style="width: 100%;">
								<div class="fl" style="width: 6%; font-weight: bold;">11. </div>
								<div class="fl" style="width: 93%;">Could you do the household shopping on your own?</div>
								<div class="clr">&nbsp;</div>
							</div>
							<div class="answer">
								<div class="fl" style="width: 98%;">
									<div class="fl" style="width: 5%; font-weight: bold;">Ans. </div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option112">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_10" id="opt_of_10" value="23,112,4,10" onclick="updateScore(this,'10');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Yes, Easily</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option113">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_10" id="opt_of_10" value="23,113,3,10" onclick="updateScore(this,'10');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">With little difficulty</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option114">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_10" id="opt_of_10" value="23,114,2,10" onclick="updateScore(this,'10');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">With moderate difficulty</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option115">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_10" id="opt_of_10" value="23,115,1,10" onclick="updateScore(this,'10');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">With extreme difficulty</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option116">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_10" id="opt_of_10" value="23,116,0,10" onclick="updateScore(this,'10');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">No Impossible</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="clr">&nbsp;</div>
								</div>
								<div class="clr">&nbsp;</div>
							</div>
						</div>
											<div style="line-height: 22px; margin-bottom: 3px; border: 1px solid rgb(238, 238, 238); background-color: rgb(255, 255, 255);" id="question_answer_11">
							<div class="question" style="width: 100%;">
								<div class="fl" style="width: 6%; font-weight: bold;">12. </div>
								<div class="fl" style="width: 93%;">Could you walk down one flight of stairs?</div>
								<div class="clr">&nbsp;</div>
							</div>
							<div class="answer">
								<div class="fl" style="width: 98%;">
									<div class="fl" style="width: 5%; font-weight: bold;">Ans. </div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option117">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_11" id="opt_of_11" value="24,117,4,11" onclick="updateScore(this,'11');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">Yes, Easily</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option118">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_11" id="opt_of_11" value="24,118,3,11" onclick="updateScore(this,'11');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">With little difficulty</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option119">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_11" id="opt_of_11" value="24,119,2,11" onclick="updateScore(this,'11');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">With moderate difficulty</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option120">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_11" id="opt_of_11" value="24,120,1,11" onclick="updateScore(this,'11');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">With extreme difficulty</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="fl" style="margin-left: 2px; width: 18.5%;" id="option121">
										<div class="fl" style="width: 18%;">
											<input name="opt_of_11" id="opt_of_11" value="24,121,0,11" onclick="updateScore(this,'11');" type="radio">
										</div>
										<div class="fl" style="width: 80%; padding-left: 2px;">No Impossible</div>
										<div class="clr">&nbsp;</div>
									</div>
																		<div class="clr">&nbsp;</div>
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